# DR. STEPHANIE JORDAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1598809576
- **Gender:** F
- **Credential:** OMD, PSYD.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 3356 | FL | — |
| 171100000X | Acupuncturist | 1014 | NV | Yes |
| 171100000X | Acupuncturist | 1164 | FL | — |

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 12/21/2010